Individual provider Active NPI

Craig M McAllister, M.D.

  • Orthopaedic Surgery Physician
  • Edmonds, WA
National Provider Identifier
1891754792
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD00028073 Issued in WA
Practice address
21401 72ND Ave W
Edmonds, WA 98026
Phone
(425) 412-1875
Fax
(425) 304-1103
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD00028073 WA Primary

Addresses

Primary practice location

21401 72ND Ave W
Edmonds, WA 98026

Mailing address

PO Box 5127
Everett, WA 98206-5127
Phone (425) 412-1875

Other practice location 1

12911 120th Ave NE
Suite H-210
Kirkland, WA 98034-3027
Phone (425) 823-4000

Other practice location 2

12911 120th Ave NE
Suite H-210
Kirkland, WA 98034-3027
Phone (425) 823-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041207001086 WA Practitioner - Orthopedic Surgery 4284690678 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00028073WAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons, Inc., P.S. CurrentSince Dec 15, 1997 Accepting new patients
Proliance Surgeons Inc P S Orthopaedic Surgery Current Accepting new patients
Optum Care Washington PLLC CurrentSince Aug 12, 2019 Accepting new patients
Proliance Surgeons Inc P S Orthopaedic Surgery Current Accepting new patients
Proliance Surgeons Inc P S Orthopaedic Surgery CurrentSince Dec 15, 1997 Accepting new patients
Proliance Surgeons Inc., P.S. Orthopaedic Surgery Current Accepting new patients
Optum Care Washington PLLC CurrentSince Aug 12, 2019 Accepting new patients

Locations

21401 72nd Ave W
Edmonds, WA 98026
Phone (425) 304-1101

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030

12911 120th Ave NE
Ste H120
Kirkland, WA 98034
Phone (425) 823-4226

12911 120th Ave NE
Ste H210
Kirkland, WA 98034
Phone (425) 823-4000

12911 120th Ave NE
Ste G10
Kirkland, WA 98034
Phone (425) 481-6301

14841 179th Ave SE
Ste 330
Monroe, WA 98272
Phone (360) 794-3300

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1891754792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "425-412-1875",
            "fax_number": "425-304-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21401 72ND AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "98026",
            "telephone_number": "425-412-1875",
            "fax_number": "425-304-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12911 120th Ave NE",
            "address_2": "Suite H-210",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980343027",
            "country_code": "US",
            "telephone_number": "425-823-4000",
            "fax_number": "425-821-3550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12911 120th Ave NE",
            "address_2": "Suite H-210",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980343027",
            "country_code": "US",
            "telephone_number": "425-823-4000",
            "fax_number": "425-821-3550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "CRAIG",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD00028073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.